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Ropark 0.25 Tablet


Overview

Introduction

Ropark 0.25 Tablet is a prescription medicine used in the treatment of Parkinson's disease and restless leg syndrome (an urge to move the legs usually accompanied or caused by uncomfortable and unpleasant leg sensations). It helps to treat excessive shaking by slowing down the body movements.

Ropark 0.25 Tablet should be taken with food. However, take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration as advised by your doctor and if you have missed a dose, take it as soon as you remember it. You should never skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to your doctor.

Some common side effects of this medicine include headache, fainting, vomiting, weakness, nausea, edema (swelling), abnormality of voluntary movements and dyspepsia (indigestion). It also causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Inform your doctor if you develop any unusual changes in mood, an abnormally high sex drive, an urge to gamble or uncontrolled spending as these may prove very harmful.

Uses of Ropark Tablet

  • Parkinson's disease
  • Restless leg syndrome

Side effects of Ropark Tablet

Common
  • Headache
  • Dizziness
  • Fainting
  • Sleepiness
  • Vomiting
  • Weakness
  • Nausea
  • Edema (swelling)
  • Abnormality of voluntary movements
  • Indigestion
  • Hallucination
  • Confusion
  • Viral infection

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Dizziness
    This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better.
  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Weakness
    Make sure you rest and drink plenty of fluids. Eat a well-balanced diet to keep your energy levels up. Do not drink too much alcohol. Do not drive or use tools or machinery until you feel better. Other things that can help include doing some gentle exercise every day, prioritizing and pacing your activities and having a short nap if you need to. If you are still having problems after a week, speak to your doctor, as they may want to change you to a different type of medicine.
  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Indigestion
    Try taking your medicine with a meal or snack, or shortly after eating. It might help to eat smaller and more frequent meals, and to eat and drink slowly. Avoid foods which can irritate your stomach such as carbonated soft drinks, caffeine, fatty and spicy foods, mints and citrus fruits. Quit smoking and alcohol because they increase the symptoms. Do not eat for 3 or 4 hours before going to bed. Try raising the head of your bed at night or use extra pillows. Ask your doctor or pharmacist about medicines that may help, such as antacids, if your condition does not improve.
  • Coping with Confusion
    If this medicine makes you feel this way, stop what you are doing and sit or lie down until you feel better. If the feeling does not go away or troubles you, do not take any more medicine and speak to a pharmacist or your doctor.

How to use Ropark Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Ropark 0.25 Tablet is to be taken with food.

How Ropark Tablet works

Ropark 0.25 Tablet works by increasing the action of dopamine, a chemical messenger that is needed to control movement in the brain.

Safety Advice

Alcohol
CAUTION
Caution is advised when consuming alcohol with Ropark 0.25 Tablet. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Ropark 0.25 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Ropark 0.25 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Ropark 0.25 Tablet suppresses serum prolactin and may interfere with breastfeeding.
Driving
UNSAFE
Ropark 0.25 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Ropark 0.25 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Ropark 0.25 Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Ropark 0.25 Tablet should be used with caution in patients with liver disease. Dose adjustment of Ropark 0.25 Tablet may be needed. Please consult your doctor.
Use of Ropark 0.25 Tablet is not recommended in patients with the severe liver disease.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
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Quick Tips

  • You have been prescribed Ropark 0.25 Tablet to treat your symptoms of Parkinson's disease and/or restless leg syndrome.
  • It can be taken with or without food. Taking it with food may reduce nausea.
  • For restless leg syndrome, take this medicine 2 to 3 hours before bedtime.
  • Avoid activities that require you to be alert, such as driving a car until you know how this medication affects you.
  • When you first start taking Ropark 0.25 Tablet, it may cause sudden drop in your blood pressure when you change positions. To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • Inform your doctor if you develop compulsive behaviors that are hard to control, such as binge eating, gambling, spending money, and sexual urges.
  • Talk to your doctor in case you develop hallucinations or other changes in your behavior.
  • Do not stop taking the medication suddenly without talking to your doctor.

Interaction with Drugs

Taking Ropark with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Karzine, Ostil, Prom
LIFE-THREATENING
Brand(s): Pnxol, Flupen, Full ON
LIFE-THREATENING
Brand(s): Medipax, Monazine, Prolinate
LIFE-THREATENING
Brand(s): Cizonil
LIFE-THREATENING

Patient Concerns

arrow
For restless leg syndrome doctor?
Dr. Vikas Sharma
Neurology
Tab pramirol 0.25 mg in evening daily
restless leg syndrome urgue move leg in night
Dr. Vikas Sharma
Neurology
start tab pramirol 0.25 mg at nite
arrow
Do you have any questions related to Ropark 0.25 Tablet ?

User Feedback


FAQs

Q. What are the warning symptoms that should prompt me to discontinue therapy?

You may develop several warning symptoms that would suggest that the treatment needs to be discontinued. You may develop compulsive behavior such as gambling, increase in sex drive, compulsive shopping and eating. You may notice that your symptoms are getting worse (start earlier than usual or are more intense, affect other parts of the body, such as the arms, and symptoms return early in morning). If you notice these symptoms, consult your doctor immediately.

Q. How long does Ropark take to work?

You may be able to see improvement within a week. However, it may take longer and differs from individual to individual.

Q. Can I stop taking Ropark if I do not see any improvement in my symptoms?

No, you should not stop taking Ropark on your own as you may experience anxiety, depression, lack of interest, tiredness, sweating and severe pain in the leg. The dose should be reduced slowly. In some patients, it may take longer to see improvement but not beyond 12 weeks. Talk to your doctor if you want to stop it.

Q. Can I take gabapentin and Ropark together?

Yes, you can take gabapentin and Ropark together. However, be careful as taking these two medicines together may cause excessive drowsiness, dizziness and decrease your mental alertness. So, you may have to avoid driving, operating machinery or working at heights while taking the two medicines together.

Q. Is Ropark used for pain?

No, Ropark is not used to relieve pain. It acts by increasing the levels of a chemical messenger (dopamine) in the brain, which is deficient in case of restless leg syndrome. This, in turn, relieves the discomfort and reduces the involuntary limb movements that disrupt night-time sleep.

Q. How often can I take Ropark?

For restless leg syndrome, take Ropark once a day. It is usually taken just before bedtime, but you can take it up to 3 hours before going to bed. For Parkinson’s disease, it is usually taken three times a day.

Q. Is Ropark safe?

Yes, Ropark is safe if taken in the dose and duration advised by your doctor. It is a well-tolerated medicine. The common side effects of Ropark are nausea, dizziness, headache, and sleepiness which are typically worse during the first two weeks of treatment and may require dose reduction but rarely discontinuation of drug.

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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Aminoff MJ. Pharmacologic Management of Parkinsonism & Other Movement Disorders. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 475.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1234-35.
  3. Ropinirole. Research Triangle Park, North Carolina: GlaxoSmithKline; 1997 [revised Aug. 2014]. [Accessed 23 Jan. 2019] (online) Available from:External Link
  4. Ropinirole. Burgos, Spain: Glaxo Wellcome S.A; 2017. [Accessed 22 Mar. 2019] (online) Available from:External Link
  5. Drugs.com. Ropinirole. [Accessed 22 Mar. 2019] (online).Available from:External Link
  6. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Ropinirole. [Updated 2018 Oct 31]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  7. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
90, Delhi - Jaipur Road, Sector 32, Gurugram, Haryana 122001
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